Andrew Edward Luckey, III
Medical Specialty
Professional ID
- NPI: 1568516086
- PECOS ID: 6002845039
- Enrollment ID: I20050809001159
- Credential(MD, DO, DPM): MD
- Medical School: Howard University College Of Medicine
- Medical School Graduation Year: 1998
Hospital Service
- Hospital CCN1: 050236
- Business Name (LBN)1: Simi Valley Hospital Health Care Services
- Hospital CCN2: 050549
- Business Name (LBN)2: Los Robles Hospital Medical Center
Medical Practices
- Organization Name: Andrew Edward Luckey Iii, M.d., Inc.
- Group Practice ID assigned by PECOS: 2961688072
- Number of Group Practice member: 0
Location
- Address1: 1189 Swallow Ln
- Address2: Suite 201
- City: Simi Valley
- State: California
- Zip Code: 93065
- Phone Number: (805)577-7977
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):